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Published on: February 18, 2016
Cocaine fatality: an unexplained blood concentration in a fatal overdose
F J Peretti1, D S Isenschmid, B Levine
1Office of the Chief Medical Examiner of Maryland, Baltimore, MD 21201.
Abstract:
A case is presented of a 26-year-old female who died as a result of cocaine intoxication. A blood cocaine concentration of 330 mg/l, about 1.5 times greater than the highest concentration previously reported, was found. Blood benzoylecgonine and ecgonine methyl ester concentrations were 50 and 18 mg/l, respectively. The unusually high blood concentrations of cocaine and the metabolites are suggestive of a massive administration, however, the history suggests a series of recreational uses. The manner of death was undetermined.
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